While the Bachelot law generates resentment, including the governance of the hospital, the conversion of hospital personnel seem to forgotten discussions. However, the current mutations make the pressing question. By 2015, some agents 380.000, almost 50 of the staff of the hospital public service, could retire. Field directions toil to anticipate exactly these departures. So a growing number of hospital officers eligible for a retirement age of 55 or 60 delay this time to avoid a too large shortfall. "This morning, I had the case of a block procedure, sixty year-old nurse, who wishes to extend its activity until its sixty-two years", reflects Michèle Le Guilcher, Chief of staff of the hospital Saint-Louis in Paris, which employs 3.200 people, including 700 doctors. "Today, it affects 2,300 euros net per month, and his retirement would be slightly more than 1.500 euros."
Increased workload

Yet, in health care facilities, the wear is gaining ground. Physical and mental burdens heavy, important cadences and staggered schedules weave the daily life of many agents. The workload has increased, and a physical and psychological fatigue moved to bottom of shortage of staff and aging of caregivers and patients. In addition, medicine is sophisticated, regulations multiply and budgets are tight. What increase stress and push some to to convert.
Yes, hospitals are large consumers of vocational training. According to the National Association for continuing education of hospital staff (ANFH) 58 of officers receive training each year. And "worn" personal or later in a career, there is even the formations of conversion. "They are used when a person wants to change the business or can no longer perform his task properly, explains Laurence Bray, Chair of the ANFH." In the case of caregivers, is to convert these back into administrative, logistical positions or home, or less physical care...
Few conversions
However, the actual conversions do not appear to Legion. Thus, within the Public Assistance hospitals of Paris (AP - HP), which employs some 90,000 people: "the last progress report indicates that in 2008 only sixteen officers have been reclassified as a result of a failure", said Annie Pivin, under-Secretary-General of the CFDT to the AP - HP. At a time when their deficit amounted to EUR 575 million in 2008, "hospitals are limited in all these post reclassification, because they are subject to strict return to financial balance plans," says Laurence Bray.
Conversion faces other brakes. Let's start with the increase in the number of agents involved. Moreover, the professional evolution in the hospital is also based on motivation. "Training, it is an opportunity, the same as the visits to the psychologist or the physiotherapist," says Marie-Christine Marie Jeanne. A forty-eight years, the migrant, who works at hôpital Jean Verdier de Bondy for thirty years, did not hesitate to form after ten years of night work and work with patients at the end of life.
But his case is not so common. Because many caregivers are reluctant to make the grief of their trade. Finally, their conversion request a personalized and individualized management: "We make tools available to the hierarchy to promote information and training," said Michèle Le Guilcher. ". But we would like to have more time for our core business, which is the management of people.